Coverage Details

  Selected

Policy Details
Policy #
WC10000137412010A
Effective Date
6/24/2010
Cancel Date
6/24/2011
DC Date
Carrier Name
CLEARPATH MUTUAL INSURANCE COMPANY
Carrier #
0605

Insured Details
Insured ID
358392000
Name
LUBRITECH LLC
Street Address
6328 FREDERICA ST
OWENSBORO , KY 42301

Location ID Name Industry Address
L790242971 LUBRITECH LLC 1796 - INSTALLING BUILDING EQUIPMENT, NEC 6328 FREDERICA ST
OWENSBORO , KY 42301
L791162714 PROTECH TIRE & AUTO CENTER 441320 - Tire Dealers 6328 FREDERICA ST
OWENSBORO , KY 42301
L790869997 LUBRITECH LLC 441320 - Tire Dealers 5663 STATE ROUTE 85 W
CENTERTOWN , KY 42328
L791162715 PROTECH TIRE & AUTO CENTER 441320 - Tire Dealers 606 HENTON ST # B
LIVERMORE , KY 42352
L358392000 LUBRITECH LLC 441320 - Tire Dealers 6328 FREDERICA STREET
OWENSBORO , KY 42301
L791162713 PROTECH TIRE & AUTO CENTER 441320 - Tire Dealers 1021 E 4TH ST
OWENSBORO , KY 42303
L791162712 PROTECH TIRE & AUTO CENTER 441320 - Tire Dealers 5663 STATE ROUTE 85 W
CENTERTOWN , KY 42328
L790719555 LUBRITECH LLC 441320 - Tire Dealers 1021 E 4TH ST
OWENSBORO , KY 42303
L790869996 LUBRITECH LLC 441320 - Tire Dealers 606 HENTON ST # B
LIVERMORE , KY 42352
Process Date Triplicate Code Description Policy # Effective Date Audit # Line #
6/24/2021 00-70-01 Reinstatement WC10000137412021A 6/24/2021 20211022-N0 520
6/24/2021 00-42-60 Cancellation by Insured / Coverage Elsewhere WC10000137412021A 6/24/2021 20211022-N0 521
6/24/2021 00-42-60 Cancellation by Insured / Coverage Elsewhere WC10000137412021A 6/24/2021 20210930-N0 498
6/24/2021 00-20-01 Renewal WC10000137412021A 6/24/2021 20210628-N0 1893
6/24/2021 00-31-54 Add New Employer WC10000137412021A 6/24/2021 20210825-N0 675
6/24/2020 00-20-01 Renewal WC10000137412020A 6/24/2020 20200626-N0 1407
6/24/2019 00-20-01 Renewal WC10000137412019A 6/24/2019 20190626-N0 1426
6/24/2018 00-20-01 Renewal WC10000137412018A 6/24/2018 20180626-N0 997
6/24/2017 00-20-01 Renewal WC10000137412017A 6/24/2017 20170622-E0 58
6/24/2016 00-31-54 Add New Employer WC10000137412016A 6/24/2016 20160817-E0 187
6/24/2016 05-32-85 Change Location Demographics (New Data) WC10000137412016A 6/24/2016 20160815-E0 235
6/24/2016 00-20-01 Renewal WC10000137412016A 6/24/2016 20160627-E5 140
6/24/2016 00-31-54 Add New Employer WC10000137412016A 6/24/2016 20160817-E0 185
6/24/2016 00-32-84 Change Insured Demographics WC10000137412016A 6/24/2016 20160815-E0 238
6/24/2016 00-32-84 Change Insured Demographics WC10000137412016A 6/24/2016 20160815-E0 237
6/24/2016 04-32-85 Change Location Demographics (Old Data) WC10000137412016A 6/24/2016 20160815-E0 233
6/24/2015 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412015A 6/24/2015 20150921-E0 58
6/24/2015 05-32-85 Change Location Demographics (New Data) WC10000137412015A 6/24/2015 20160801-E1 365
6/24/2015 00-20-01 Renewal WC10000137412015A 6/24/2015 20150623-E0 181
6/24/2015 00-32-84 Change Insured Demographics WC10000137412015A 6/24/2015 20160801-E1 367
6/24/2015 00-32-84 Change Insured Demographics WC10000137412015A 6/24/2015 20150902-E0 106
6/24/2015 04-32-85 Change Location Demographics (Old Data) WC10000137412015A 6/24/2015 20160801-E1 363
6/24/2015 00-70-01 Reinstatement WC10000137412015A 6/24/2015 20150925-E0 12
6/24/2014 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412014A 6/24/2014 20140925-E0 25
6/24/2014 00-70-01 Reinstatement WC10000137412014A 6/24/2014 20141013-E0 78
6/24/2014 00-32-84 Change Insured Demographics WC10000137412014A 6/24/2014 20140926-E0 127
6/24/2014 00-20-01 Renewal WC10000137412014A 6/24/2014 20140714-E0 169
6/24/2014 00-32-84 Change Insured Demographics WC10000137412014A 6/24/2014 20140926-E0 126
6/24/2014 05-32-85 Change Location Demographics (New Data) WC10000137412014A 6/24/2014 20140926-E0 124
6/24/2014 04-32-85 Change Location Demographics (Old Data) WC10000137412014A 6/24/2014 20140926-E0 122
6/24/2013 00-60-64 Non-Renewal by Carrier / Underwriting Discretion WC10000137412013A 6/24/2013 20140610-E0 37
6/24/2013 05-32-85 Change Location Demographics (New Data) WC10000137412013A 6/24/2013 20140821-E0 124
6/24/2013 00-70-01 Reinstatement WC10000137412013A 6/24/2013 20140710-E0 126
6/24/2013 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412013A 6/24/2013 20131204-E0 40
6/24/2013 00-31-54 Add New Employer WC10000137412013A 6/24/2013 20140402-E0 251
6/24/2013 00-20-01 Renewal WC10000137412013A 6/24/2013 20130715-E0 226
6/24/2013 00-70-01 Reinstatement WC10000137412013A 6/24/2013 20140128-E0 115
6/24/2013 04-32-85 Change Location Demographics (Old Data) WC10000137412013A 6/24/2013 20140821-E0 122
6/24/2013 00-32-84 Change Insured Demographics WC10000137412013A 6/24/2013 20140821-E0 126
6/24/2012 00-70-01 Reinstatement WC10000137412012A 6/24/2012 20121012-E0 111
6/24/2012 00-70-01 Reinstatement WC10000137412012A 6/24/2012 20130711-E0 107
6/24/2012 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412012A 6/24/2012 20120906-E0 345
6/24/2012 00-60-64 Non-Renewal by Carrier / Underwriting Discretion WC10000137412012A 6/24/2012 20130610-E0 62
6/24/2012 00-20-01 Renewal WC10000137412012A 6/24/2012 20120629-E0 201
6/24/2011 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412011A 6/24/2011 20111129-E1 81
6/24/2011 00-70-01 Reinstatement WC10000137412011A 6/24/2011 20120628-E0 2
6/24/2011 00-20-01 Renewal WC10000137412011A 6/24/2011 20110629-E0 93
6/24/2011 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412011A 6/24/2011 20110929-E0 62
6/24/2011 00-70-01 Reinstatement WC10000137412011A 6/24/2011 20120130-E0 264
6/24/2011 00-70-01 Reinstatement WC10000137412011A 6/24/2011 20111201-E0 97
6/24/2011 00-70-01 Reinstatement WC10000137412011A 6/24/2011 20111004-E0 52
6/24/2011 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412011A 6/24/2011 20111229-E0 77
6/24/2011 00-60-64 Non-Renewal by Carrier / Underwriting Discretion WC10000137412011A 6/24/2011 20120611-E0 43
6/24/2010 00-70-01 Reinstatement WC10000137412010A 6/24/2010 20110505-E0 51
6/24/2010 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412010A 6/24/2010 20110131-E0 112
6/24/2010 00-70-01 Reinstatement WC10000137412010A 6/24/2010 20101202-E0 44
6/24/2010 00-10-01 New Policy WC10000137412010A 6/24/2010 20100622-E0 166
6/24/2010 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412010A 6/24/2010 20110429-E0 37
6/24/2010 00-60-64 Non-Renewal by Carrier / Underwriting Discretion WC10000137412010A 6/24/2010 20110610-E0 85
6/24/2010 00-70-01 Reinstatement WC10000137412010A 6/24/2010 20110201-E0 92
6/24/2010 00-41-59 Cancellation by Carrier / Non-Payment WC10000137412010A 6/24/2010 20101129-E0 169
6/24/2009 00-20-01 Renewal 19609827 6/24/2009 20090406-N0 1091
6/24/2009 00-60-64 Non-Renewal by Carrier / Underwriting Discretion 19609827 6/24/2009 20100309-N0 203
00-10-01 New Policy 19609827 6/24/2008 20080703-N0
00-32-84 Change Insured Demographics 19609827 6/24/2008 20080814-N0
6/24/2007 00-20-01 Renewal 300379 6/24/2007 20061101-K1 155
6/24/2007 00-32-84 Change Insured Demographics 300379 6/24/2007 20070601-K1 9922
6/24/2007 00-60-01 Non-Renewal by Insured / Reason Unknown 300379 6/24/2007 20070901-K0 4185
6/24/2006 00-20-01 Renewal 300379 6/24/2006 20060201-K1 132
6/24/2006 00-32-84 Change Insured Demographics 300379 6/24/2006 20060805-K1 209
6/24/2006 00-32-84 Change Insured Demographics 300379 6/24/2006 20060329-K1 68
00-41-64 Cancellation by Carrier / Underwriting Reason 300379 6/24/2002 20080624-K0
00-70-01 Reinstatement 300379 6/24/2002 20060807-K0
00-41-64 Cancellation by Carrier / Underwriting Reason 300379 6/24/2002 20060804-K0